emotions

The domino effect

Posted by Liz on Oct 26, 2009 in emotions, hot flash, menopause, nightsweats, sleep disturbance | 2 comments

I’ve never heard of the term ‘Domino Effect’ being applied to menopause, although, if one thinks about it, it makes perfect sense. For example, hot flashes beget sleep disruptions beget mood swings, and so on and and so on.

But do they?

In a study published in Menopause Journal ahead-of-print,  55 women were asked to keep daily records of their symptoms for up to five years or until they fully entered menopause. whichever came first. The researchers then evaluated whether or not changes in hot flashes or night sweats would predict a change in sleep the very same day, and if these changes then predicted changes in moods the next day. They also factored in whether or not women were initially depressed to insure that any results they found would not be unduly influenced.

They found that daily hot flashes or night sweats accurately predicted same day sleep problems and disruptions, which in turn, worsened moods the next day. However, the researchers were unable to connect hot flashes and night sweats directly to shifts in mood without this interim step except for in women who were already mildly depressed.

Are you confused yet?

What this really shows is that while night flashes and hot sweats may affect overall mood swings during menopause, the reason is unlikely to be attributed directly to sleep disruption but rather to some other mechanism. In the long run, this may allow lead to better interventions that individually address these factors so that the sum of the parts becomes a more positive sense of well-being regardless of any physical disruptions.

Every action has a chain reaction. Hopefully, this finding will lead to something positive for us all.

Wednesday Bubble: blame it on…

Posted by Liz on Sep 23, 2009 in emotions, estrogen, menopause, women's health | 4 comments

I was struck by the following story that appeared two weeks ago on the BBC:

“Woman’s Death Blamed on Menopause.”

“A woman who refused to take hormone replacement therapy died while suffering a menopausal episode, an inquest had heard. Margaret Drew…was killed when she walked out of her family home on to a nearby railway line and was hit by a train…There is no trigger to this at all, except hormones making her do things that she normally wouldn’t do, Dr. Carlyon [Cornwall Coroner) concluded…”

Menopause. The silent killer. Oh really?  Drew’s husband claims that his wife was “delightful, lovely and friendly” 99% of the time; the other 1% she’d become “totally irrational.” Yet, she refused to try HRT, he says. On the day of her suicide, he said that his wife was “clearly angry about something.”

Something.

Obviously, the conclusion is that that the “something” is hormones. This reminds me of vintage advertising copy that conveys the simple message that a pill a day can cure all that ails, wipe away the tears, mood swings and instability so that women can “transition without tears” (or better yet, without killing themselves).

Notably, a search in the National Library of Medicine’s PubMed database turned up only one recent study specifically dealing with suicide ideation across reproductive stages. In it, researchers compared data in 8,794 women, and found an increased risk of thinking about suicide among women during perimenopause, not before or after entering menopause. These findings remained after controlling for risk factors such as anxiety and mood disorders. HOWEVER, the researchers noted that the study design did not allow them to form any definitive conclusions about the specific reasons for thinking about suicide.

Another search yielded information that the risk for a major depression increases during perimenopause, primarily as the direct result of vasomotor symptoms. The same does not hold true for women before menopause begins or once they enter menopause. Note that while major depression is a risk factor for suicide, not everyone who is depressed will actually kill themselves.

So, are hormonal fluctuations the sole cause of such deep unhappiness that women want to kill themselves?

Interestingly, just a week after the menopause/train suicide story hit the interwebz, a rather controversial set of data also emerged: since 1972, women’s overall level of happiness has dropped. These findings held true regardless of child status, marital status and age. Researcher Marcus Buckingham, writing in the Huffington Post, said that women are not more unhappy than men because of gender stereotyping and related attitudes, due to working longer hours or because of the inequality of housework/responsibilities at home, but rather, the hormonal fluctuations of menopause may be to blame. What’s more, he leaves us hanging so we’ll tune in for part two of the piece to learn the true cause of our declining happiness or better yet, read his book (which evidently guides women through the process of finding the true role that they were meant to play in life).

Importantly, reactions to this study (and various pundits’ assessment of it) have been mixed. One of the most poignant comments I’ve read asks the question “how is happiness measured? What does it mean?”

I have no idea what caused Mrs. Drew to walk into a train two weeks ago and kill herself. Perhaps she was depressed. Clearly she was suicidal.

I have no idea why research shows that women are less happier than they were three decades ago.

However, is menopause the cause? Don’t these conclusions only serve to perpetuate societal myths that menopause is a disease that requires treatment? That as women, our attitudes, belief systems and actions are hormonally-based and driven? That we are hysterical beings who need guidance on how to find our way and fulfill our dreams, realize our paths, but only if we calm down?

Feeling angry? Blame it on menopause. Unhappy? Blame it on menopause. Not realizing your dreams? Blame it on menopause. Overworked, overstressed, undervalued? Blame it on menopause.

Blame it on menopause.

I don’t know about you but I’m tired, tired of hearing that menopause is not the symptom but the disease.

There’s no time like the present to burst this bubble.

Reaching the Gentler Sex: Why Marketing to Women Requires a Holistic Approach. A guest post by Andrea Learned

Posted by Liz on Aug 3, 2009 in emotions, work | 4 comments

I’ve written a few posts on the value of connections and the unique relationships that women have with one another, and with the world at-large. Not only do these connections provide a sense of security and enrich our emotional, psychological and physical fabrics, but they can teach us a lot about how we relate to others and how others relate to us as women.

Midlife is a time when many changes occur, particularly on the career front. You may find yourself reevaluating what you are doing, or better yet, how. I think that Andrea Learned has an interesting perspective on how women relate to the products they buy, because it says a lot about how we relate to ourselves and each other: holistically.

So, when I saw this post on Andrea’s Site, Learned on Women, I asked if she might do me the honours of reframing it for Flashfree. It’s a terrific, informative piece, whether you are interested in marketing or not.

Enjoy!!! And show Andrea some love!

Part of what makes women seem so complicated, from the marketing perspective, is the fact that their purchase decision-making paths can be a bit winding. For most women, there is more to a decision than bullet points listing product features on the side of a package.  They take it all in — from the causes a brand supports, to the friendliness of a retailer’s employees, to knowing that a brand actually does interact with women like them (and so has much better ideas how to serve them).

Women certainly consider the usual suspects of linear product facts: like price and quality.  However, their buying curves give them even more to ponder. They may have checked off everything on their list, be close to a decision, and then hear that your company sponsored the run they participated in last weekend. Boom! She’s sold. Or a woman may be 99 percent decided or buying from a retailer, have a short conversation with a sales team member who was a little too hard-sell — and, boom, the deal is off.

The key to understanding how to reach women buyers is understanding how they think.  And, it is in a very holistic – take it all in – manner.

Not surprisingly, a woman’s more typically holistic buying characteristics are founded in the extra-connectedness of her brain. In fact, in comparison to a man’s brain, a woman’s brain typically has more connecting fibers between cells and a larger connecting tissue (corpus collusum) between right and left hemispheres. (Louann Brizendine’s book, The Female Brain, is a great resource for more brain science information.)

Noted socio-anthropologist Helen Fisher wrote in her book The First Sex: “As women make decisions, they weigh more variables, consider more options and outcomes, recall more points of view, and see more ways to proceed.” Fisher refers to women’s tendency to think in terms of interrelated factors (as opposed to men’s tendency to think more in a straight line or in steps) as “web thinking.”

As a result of web thinking, she says, women have easier access to both sides of the brain in any given decision, and are better able to integrate the emotional (is this company doing well by their employees and the environment?) with the rational (price, features, quality of product).

In Dan Pink’s book, A Whole New Mind, the author points out that “the left hemisphere handles what is said; the right hemisphere focuses on how it’s said.” Women can tap right hemisphere concerns (nonverbal, usually more emotional) much more easily, on average, then men.

In fact, as Face Time author Dan Hill found, emotions may play a larger role in the way women think about everything. This is worth noting, as he also mentions that emotion seems to drive reason more than reason drives emotion.

***

Given this perhaps more right-brained, emotionally-driven thinking, the curved path of a woman’s buying decision-making process makes a lot of sense.  In today’s tough economic and environmental situation – this more holistic perspective comes in very handy.   How and what anyone buys needs to be more deliberate.  And, what I see happening now in terms of consumer behavior is that men are starting to learn these “women’s” ways and use the finer points of such decision-making themselves.

What’s that phrase?  It’s all good.

***

The above was excerpted/edited a bit from Andrea’s original piece for a building industry publication.  You can see that full article here: http://learnedonwomen.com/2007/07/article-reaching-the-gentler-sex/

If you are a twitter fan, you can stay easily updated on Andrea’s thoughts/ideas/blog posts by following: @AndreaLearned.

Wednesday Bubble: “Severe depression? Apathy? Psychomotor retardation?” How about a bennie?

Posted by Liz on May 11, 2009 in emotions | 0 comments

Every now and then, a post deserves a second viewing. This week, I’m bursting the bubble on more vintage advertising. Nothing like an upper for the mid-week blues, right?

“In the severe depressions of the menopause, marked by apathy and psychomotor retardation…”just use a bennie. You’ll be speeding through your day in no time! (And will probably lose that extra weight too!)

Really! What WERE they thinking?!

Well, well, well…

Posted by Liz on Mar 30, 2009 in emotions, general | 3 comments

wellbeing, that is. Is it elusive during the menopause?

Earlier studies have suggested that the way that a woman experiences menopause is dominated by several factors, including changes in the structure of their lives (e.g. social roles, personal relationships). When these changes do not occur as expected, for example, menopause starts early or late, they can cause greater distress than when they occur on time sot to speak. The same holds for menopausal symptoms; those that are perceived as normal are not necessarily unpleasant, while unusually heavy bleeding, emotional outbursts or frequent hot flashes can be disruptive.

I was intrigued when I ran across a study published in 2007  in the journal Contemporary Nursing which explored these very themes. Researchers recruited 18 women who were post-menopausal and self-described as having experienced ‘wellness’ during menopause. Interviews were conducted with all study participants, during which they were asked to describe in greater depth their experiences.

The study findings showed that the menopause experience was dominated by three themes:

The continuity of the experience

How women experience menopause is inevitably individualized and not easily generalizable. Indeed, data demonstrated that the nature of menopause and how women go through ultimately determine sits impact and how disruptive it is. More specifically, abrupt changes in menstrual patterns can be more jarring than incremental slowing and gradual cessation of menstruation.

How embedded menopause becomes in the rest of one’s life

In the course of the interviews, the researchers found that a woman’s ability to incorporate menopause into her life and routines versus allowing it to change the routines was key to maintaining an equilibrium. Hence, bothersome symptoms became only “only one experience among many and not the most outstanding.” Even hot flashes, which can truly disrupt a moment, became no more valuable to an overall experience than other daily events, mainly because these women did not allow them to disrupt familiar patterns and daily activities.

Containment of menopause

Participants who experienced a sense of wellbeing during menopause were able to compartmentalize their symptoms and for the most part, did not allow them to encroach upon the emotional or psychological domains. These women rarely if ever, experienced irritability, nervousness, anxiety or moodiness.

So, what does it mean?

Overall, the researchers found that a key to a sense of wellbeing during the menopause is focus, i.e. women are not focused on physical symptoms but instead, consider them part of the the overall experience of being a woman and are able to place them in the background. In other words, “the body [is] experienced in a “taken for granted way” so that menopause is not disruptive to an overall continuity of living.

The women who were studied were fortunate in that fluctuating hormones did not appear to alter or disrupt their moods or emotions. Hence, they were quite well-equipped to challenge the natural changes that were occurring and keep them away from the foreground. That aside, continuity and continuing to live one’s life without allowing physical changes to get in the way appeared to define the experience of menopause in more positive terms.

This brings to mind the word “natural” and challenges the notion of menopause as a disease. If we can find ways to stay on an even keel and take actions that minimize daily eruptions as nuisances rather than allowing them to disrupt, then we are indeed, on the right track. Wellbeing during menopause isn’t elusive; it simply requires careful planning and a different mindset.

What do you think?

Walk on by

Posted by Liz on Nov 16, 2008 in emotions | 3 comments

[youtube=http://www.youtube.com/watch?v=0R-ZE-gFcBA]

Lord I need a new attitude; I’ve been in hormonal hell for the past 5 days.

Menopause Divas, you KNOW what I’m talking about. Hormonal Hell, that valley between crying and killing where everything hurts just a wee bit –  head, back, stomach, eyes – you name it.

There have been moments of clarity and fun, laughs, smiles… But I keep ending up back in the valley.

This morning, I tried to find a few menopause jokes to cheer me up. Mood ring, light bulb, change, seven dwarfs…you name it. I don’t find any of these all that funny (if you’re wondering what the heck I’m talking about, just do a search for menopause jokes on Google). Even the tee “Does this shirt make me look menopausal?” didn’t work.

I’ve tried an hour of aerobics for the past two days.

Nope, hasn’t worked.

A little bit of retail therapy.

Nope.

Red velvet cake.

Nope.

So, Mistress Estrogen, evil queen of my present domain, I give in. And if you see me on the street and I look, well, menopausal, please walk on by. I’ll be back soon.